Search Results for ehr implementation

Where HIT implementation hits a brick wall

...while there’s nobody at the vendor who knows what he’s talking about, there certainly isn’t anyone at the hospitals to call them on it.” Implementations like iPads are doomed: “everything they put out there costs tons of money in support because they weren’t put together correctly.” And the coup de grace: “As it stands they’re just too scared of the change, too scared of the data, too scared of being sued, too scared of p*****g off the doctors, and too scared of technology in general.” What’s needed to bring HIT up to the ’80s (!): real IT pros who know... Continue Reading

Tuesday’s telehealth short takes: CommonWell, Medikly, accelerators, mHealth savings, Televero

In HIMSS13 news, healthcare/EHR/practice management heavyweights Cerner, McKesson, Allscripts, athenahealth, Greenway and RelayHealth are forming the CommonWell Health Alliance to foster interoperability and care integration, enabled by ‘data liquidity’ (a term new to this Editor, but perhaps the result of ‘data exchange’). With Cerner and Allscripts taking some heat for lobbying for Federal stimulus funds that helped fuel the explosive growth of EHRs [TA 20 Feb], diverting to this albeit necessary issue seems to be a good move. HealthcareITNews Medikly raises $1.2 million in series A financing from Easton Capital: A recent graduate of the Blueprint Health accelerator in New... Continue Reading

The billion-dollar valuation horizon

When will a health tech company hit the magic billion-dollar valuation? A survey of nearly 140 entrepreneurs and over 50 health care information technology VC investors, conducted venture capital firm InterWest Partners, showed (probably naturally) far higher expectations by the entrepreneurs that several companies would hit that mark within five years. Using the most negative measure–none of the companies would hit a $1 billion valuation–only five percent of entrepreneurs agreed, while nearly 25 percent of VCs did. Likely companies agreed by both groups were free EHR Practice Fusion, employer health management platform Castlight Health and doctor appointment setter ZocDoc in... Continue Reading

Practice Fusion EHR buys a ‘nudger’

Practice Fusion, a leading US EHR which is free to practices, bought predictive modeler 100Plus. Besides sharing a founder (Ryan Howard) and a focus on healthcare data, 100Plus uses individual data to ‘nudge’ (there’s that word again) people into healthier behaviors. The interest of Practice Fusion of course, is that it is awash in patient data–but HIPAA privacy regulations limit direct, identified use. 100Plus plans to stay safe by focusing on medication adherence and tools that doctors and patients can use together to encourage engagement. Forbes... Continue Reading

Microsoft Surface dives into mHealth, telehealth tablet market

...this technology can be applied.” It’s a good point, but as EHR Intelligence goes on to point out: ‘In contrast to the iPad mini, which fits neatly into lab coat pockets and has the advantage of millions of apps in the mature Apple ecosystem, the Surface Pro is a bulkier product, weighing in at two pounds and saddled with an $899 price tag. In the era of bring your own device (BYOD) healthcare, Microsoft faces an uphill battle when it comes to attracting individual physicians looking to pick up a supplementary device for their office work.’ EHR Intelligence item: Microsoft... Continue Reading

EHR backlash brewing. But one day, you’ll mine the data

On Twitter, there’s a new hashtag: #EHRbacklash No, this Editor did not invent it (it would have been #EHRmisery), but after writing about it since November, it seems like the zeitgeist is turning, or EHRs are sliding down the Gartner hype curve….This Government Health IT article quotes managing partner Doug Brown of the Black Book Rankings research organization as stating “meaningful use incentives created an artificial market for dozens of immature EHR products” and that 31% of 17,000 EHR users surveyed would consider switching. (The actual number of practice EHRs is hundreds–respected consultants in the field have estimated about 600,... Continue Reading

Revealed: Hospital EHRs lobbied for stimulus funding (US)

...where 600-odd companies, many of them offshored IT outfits, also around 2005 started to peddle various EHRs which were first software, now cloud-based. It took off after 2009 as well, to primary care doctors worried about Federal regulations–or missing out on years of subsidies and MU payouts. The article muddles the practice-based management system Athenahealth, a relative latecomer to EHRs, with the hospital-based EHRs, perhaps to bring in the extraneous point that their CEO is a cousin to former President G.W. Bush, plus Cerner’s political contributions to Republicans, which is always to be expected from the NYT. Pass the cold... Continue Reading

Six misperceptions…or perceptions?…of telemedicine

...;-) Actually it's like Mr. Linkous started it one way, reworked the top, and forgot to carry it through. (The 2am Edit Syndrome) Or felt that carrying it through would be too critical and got cold feet. UNATTR I thik the serious aspect of this is that these (miscon ~ I prefer)(misper)ceptions are what some/most/a lot of our commissioners take as Gospel. As such it hinders/hampers/ceases take up and implementation. If this is what commissioners that have 'grown up with Telecare/health/medicine believe then how do we persuade the commissioners of tomorrow (literally tomorrow) in the CCGs that this is viable?... Continue Reading

Cambridge Community NHS Trust tenders for WSDII Local (UK)

...over the same time period, and at worst, could show adverse results simply down to the 111 implementation timing. My background is not in statistics but I can recommend this MRC paper which provides guidance on development, evaluation and implementation of complex interventions to improve health: http://www.mrc.ac.uk/Utilities/Documentrecord/index.htm?d=MRC004871 Given the nature of most telehealth programmes in the UK, I would consider using the 'Stepped wedge design' (case study 6- page 22). This takes in to account the resource constraints in making telehealth available to a large population at once, without delaying the implementation of the intervention. I would also consider another... Continue Reading

Is it Hope? Hype? Or just the Same Old Struggle?

...of those who willfully ignore that the customer has ‘Who Cares’ stamped on their forehead and jolly well insists on doing things for their reasons, not yours; of developers not bringing skeptics (marketers, clinicians, your neighbor, Aunt Sadie) in at the start and frequently therein to kick holes in the proposition. It’s detrimental to real implementation whether B2B or B2 the end user. Thus it remains the decidedly unglamorous Same Old Struggle to make it work, get the direction right, get it funded, help a few people along the way and especially, not believe your own press releases. Also see... Continue Reading